Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ingrid Hastedt, PHD

Individual provider Clinical Neuropsychologist · NPI 1669262911

Ingrid Hastedt, PHD is a Clinical Psychologist in Providence, Rhode Island. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
3
Licensed in
MA, RI
In the registry since
2025
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1 Hoppin St Ste 204
Providence, RI 02903-4141
Phone: (401) 444-8945
Fax: (401) 444-8742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hoppin St Ste 1300, Providence, RI 02903-4132 — (401) 444-8945

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY10000832 (MA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PS02351 (RI)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS02351 (RI)

Record details

NPI number1669262911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 9, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address1 Hoppin St Ste 204, Providence, RI 02903-4141

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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